Parent/Camper Assumption of Risk Form
Camp CHOICE “Game of Life” Weekend Adventure
Email address *
Camper Name: *
Camper Location: *
Date: *
Parental Consent
(Complete if applicant is under 18)

I give consent for my child _______________________________ to participate in the above activities, and I execute the above liability release on their behalf.

Consent for Treatment
I hereby give my consent to have the above applicant treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the above activity. It is understood that Camp CHOICE will provide no medical insurance for such treatment, and that the cost thereof will be at my expense.

I have read and understood the foregoing registration liability release and parental consent form, and agree to all of its terms and conditions.

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